Individual
AMY PANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAODC
Contact information
Practice address
1133 COLOMA WAY, ROSEVILLE, CA 95661-4480
(530) 368-4758
Mailing address
1133 COLOMA WAY, ROSEVILLE, CA 95661-4480
(530) 368-4758
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6149
CA
Other
Enumeration date
09/19/2014
Last updated
03/18/2019
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